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"justification": [
"Turun yliopistollisen keskussairaalan nykyinen dialyysivesij\u00e4rjestelm\u00e4 on asennettu k\u00e4ytt\u00f6\u00f6n vuonna 2006 ja laitteisto on ollut k\u00e4yt\u00f6ss\u00e4 nyt 16 vuotta. Laitteiston huoltotuen on m\u00e4\u00e4r\u00e4 p\u00e4\u00e4tty\u00e4 31.1.2023. ",
"",
"Nykyinen vuonna 2006 asennettu dialyysivesij\u00e4rjestelm\u00e4 koostuu veden esik\u00e4sittelylaitteistosta, kuumadesinfiointiyksik\u00f6ll\u00e4 varustetusta dialyysiveden valmistuslaitteistosta Gambro CWP 103ROH (nro 3460), dialyysiveden jakeluputkistosta ja jakeluputkistoihin liitetyist\u00e4 dialyysipilareista, joissa vesihanoilla ja pikaliittimill\u00e4 varustetut dialyysi-osaston veden ulosottopisteet sijaitsevat, sek\u00e4 erillisist\u00e4 dialyysivesipisteist\u00e4 dialyysikoneiden huoltohuoneessa. Veden ulosottopisteiden kokonaism\u00e4\u00e4r\u00e4 on 16 kpl. L\u00e4mp\u00f6eristetty jakeluputkisto on rakennettu rengaslinjastoksi, jonka materiaalina on CleanPex \u00d825x3,5 mm ja jonka kokonaispituus on 160 m. ",
"",
"Toiminnan jatkamiseksi tarvitaan dialyysivesij\u00e4rjestelm\u00e4n p\u00e4ivitys, joka takaa dialyysivesij\u00e4rjestelm\u00e4n aukottoman toimivuuden edelleen yhten\u00e4 j\u00e4rjestelm\u00e4kokonaisuutena, j\u00e4rjestelm\u00e4\u00e4n ja dialyysihoitopaikoilla k\u00e4ytett\u00e4v\u00e4n dialyysiveden laatuun kohdistettavien standardien vaatimusten mukaisuuden sek\u00e4 j\u00e4rjestelm\u00e4toimittajan vastuuvelvollisuuksien, potilasturvallisuuden, huolto-, varaosa- ja j\u00e4rjestelm\u00e4tuen s\u00e4ilymisen koko j\u00e4rjestelm\u00e4n osalta yhten\u00e4isen\u00e4 (standardit: ISO 23500-1, ISO 23500-2, ISO 23500-3; dialyysiveden kemialliset ja mik-robiologiset laatuvaatimukset keinomunuaishoidoissa). P\u00e4ivitys sis\u00e4lt\u00e4\u00e4 vanhentuneen j\u00e4rjestelm\u00e4osan p\u00e4ivityksen; kuumadesinfiointiyksik\u00f6ll\u00e4 varustetun dialyysiveden valmistuslaitteiston sek\u00e4 veden esik\u00e4-sittelylaitteiston p\u00e4ivityksen uuteen ajantasaiseen laitteistoon, jossa dialyysiveden tuotanto on turvattu yhden vian tapauksessa. P\u00e4ivitys tehd\u00e4\u00e4n k\u00e4ytt\u00f6kuntoon asennettuna siten, ett\u00e4 dialyysin toiminta voi jatkua h\u00e4iri\u00f6tt\u00e4 j\u00e4rjestelm\u00e4n p\u00e4ivityksen aikana dialyysin nykyisiss\u00e4 tiloissa. ",
"",
"Edell\u00e4 mainituista syist\u00e4 vain nykyinen laitetoimittaja voi toteuttaa dialyysivesilaitteiston p\u00e4ivityksen. ",
"",
"",
""
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